| Khandagle Medical Associates, P.a. | |
|
831 University Blvd E Suite 25 Silver Spring MD 20903-2916 | |
| (301) 439-1200 | |
| (301) 439-5883 |
| Full Name | Khandagle Medical Associates, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 831 University Blvd E, Silver Spring, Maryland |
| Authorized Official Name and Position | Laura D Khandagle (PRESIDENT) |
| Authorized Official Contact | 3014391200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khandagle Medical Associates, P.a. Po Box 2735 Laurel MD 20709-2735 Ph: (301) 439-1200 | Khandagle Medical Associates, P.a. 831 University Blvd E Suite 25 Silver Spring MD 20903-2916 Ph: (301) 439-1200 |
| NPI Number | 1881677557 |
|---|---|
| Provider Enumeration Date | 11/27/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5799740627 |
|---|---|
| Medicare Enrollment ID | O20041119000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881677557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D61067 (Maryland) | Primary |
| Provider Name | Laura Diane Khandagle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235112905 PECOS PAC ID: 9537148747 Enrollment ID: I20040720000142 |
| Provider Name | Kenneth F Khandagle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508849274 PECOS PAC ID: 8426037631 Enrollment ID: I20040720000155 |
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